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SGEM386: Blood on Blood – Massive Transfusion Protocols in Older Trauma Patients

The Skeptics' Guide to EM

Case: A 71-year-old man is brought to your emergency department (ED) by emergency medical serviced (EMS) having fallen two steps at home. Background: Major trauma in older patients is increasing in frequency (1), with the median age of major trauma patients in the UK from 2012-2017 being 63.6 years ( 2 ).

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

For a broader overview of pelvic trauma, please review Dr. Lupez’s 2017 article here: [link]. Institutional protocols should be utilized, keeping in mind that either whole blood or a 1:1:1 ratio of packed red blood cells, platelets, and fresh frozen plasma are optimal. World J Emerg Surg. Published 2017 Jan 18.

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